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A Pressure Sensitive Occlusal Contact Indicator for Implant Restorations: An Observational Clinical Evaluation 用于种植体修复的压敏咬合接触指示器:观察性临床评价
Pub Date : 2022-12-08 DOI: 10.14302/issn.2473-1005.jdoi-22-4360
P. Millstein, C. E. Sabrosa, Wai-man. Yung
Contact intensity is a significant factor in immoveable implant restorations. This study visually compares the use of four occlusal contact indicators one of which measures contact intensity and surface area in a single subject. The need for an occlusal contact indicator that can be used with fixed implant restorations is examined. Three contact indicators used in practice are visually compared to a novel system where pressure sensitive information and surface area can be evaluated numerically and stored. Findings suggest that intensity and surface area should be measured upon implant placement. Limitations of this observational study are discussed. Directions for future research and more systematic study are offered
接触强度是固定种植体修复的重要因素。本研究在视觉上比较了四种咬合接触指标的使用,其中一种测量单个受试者的接触强度和表面积。需要一个咬合接触指示器,可以用于固定种植体修复检查。在实践中使用的三个接触指示器直观地比较了一种新的系统,其中压力敏感信息和表面积可以进行数值评估和存储。研究结果表明,种植体放置时应测量强度和表面积。讨论了本观察性研究的局限性。提出了今后的研究方向和更系统的研究方向
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引用次数: 0
Occlusal Contact Recordings in Static and Functional Occlusion: Description of an Observational Method 静态和功能性咬合中的咬合接触记录:一种观察方法的描述
Pub Date : 2022-03-28 DOI: 10.14302/issn.2473-1005.jdoi-22-4136
Philip L. Millstein DMD. MS, Edward W Merrill DSC
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引用次数: 1
Two Implant Mandibular Overdentures: Clinical and Laboratory Procedures 两种种植下颌覆盖义齿:临床和实验室程序
Pub Date : 2021-11-30 DOI: 10.14302/issn.2473-1005.jdoi-21-3988
Abdulgani Azzaldeen, A. Muhamad
Edentulism is considered a poor health outcome and may compromise quality of life. Implant-supported overdentures provide a good opportunity for dentists to improve the quality of life and oral health. Atrophic mandible poses a significant challenge to successful oral rehabilitation with dental implants. The aim of this case report is to demonstrate the concept of immediate functional loading in the mandible using unsplinted implants to support a locator attachment supported overdenture.
蛀牙症被认为是一种不良的健康结果,可能会损害生活质量。种植覆盖义齿为牙医改善生活质量和口腔健康提供了一个很好的机会。下颌骨萎缩对种植体口腔康复的成功提出了重大挑战。本病例报告的目的是演示使用无夹板种植体支持定位器附着支撑覆盖义齿在下颌骨立即功能负荷的概念。
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引用次数: 0
Clinical Case of Bilateral Mandibular Auto Transplantation for Missing Bilateral First Molars: Case Report and Review of Literature 双侧下颌自体移植治疗双侧第一磨牙缺失1例报告及文献复习
Pub Date : 2021-10-20 DOI: 10.14302/issn.2473-1005.jdoi-21-3976
Taichi Kasuga, Samito Yamazaki, Hideo Yamazaki, K. Shinmyouzu
Auto transplantation is a fast and economical option when a suitable donor tooth is available for replacement of a tooth considered impossible to treat. The purpose of this case report is to describe methods used for autotransplantation and its advantages for cases with a missing bilateral mandibular firstmolar, as compared with a dental implant, removable partial denture, and other methods of prosthesis. In the present patient who underwent auto transplantation, clinical and radiographic outcomes were considered satisfactory at one and two years postoperatively. Bone healing was observed around the roots of transplanted teeth, which showed good function. In autotransplantation cases, even when the donor tooth has complete root formation, a high success rate can be achieved when the patient is properly selected and treated. Although the chance of root resorption remains because of necrotic pulp and periodontal irritation during manipulation, auto transplantation should be considered as a good treatment modality in feasible cases. Based on the present findings, even though autotransplantation is not common in general dental practice, we consider that it offers a clinically and economically viable alternative as compared to other more complicated prosthetic and dental implant treatments.The purpose of this report is to show that auto transplantation is a superior treatment method for single molar defects as compared to other prosthetic methods, as the periodontal ligament of the patient can be used and cutting adjacent teeth is avoided. In addition, it is a treatment method that can effectively utilize a wisdom tooth.
当有合适的供牙来替代被认为无法治疗的牙齿时,自动移植是一种快速而经济的选择。本病例报告的目的是描述用于自体移植的方法及其在双侧下颌第一磨牙缺失病例中的优势,与种植牙、可移动局部义齿和其他修复方法相比。在本例接受自体移植的患者中,术后1年和2年的临床和影像学结果令人满意。移植牙根周骨愈合,功能良好。在自体移植病例中,即使供体牙牙根形成完整,如果患者选择和治疗得当,成功率也很高。虽然在操作过程中由于牙髓坏死和牙周刺激导致牙根吸收的机会仍然存在,但在可行的情况下,自体移植应被视为一种良好的治疗方式。基于目前的研究结果,尽管自体移植在一般牙科实践中并不常见,但我们认为与其他更复杂的修复体和种植体治疗相比,它提供了一种临床和经济上可行的替代方法。本报告的目的是表明自体移植是一种优于其他修复方法的治疗单磨牙缺陷的方法,因为可以使用患者的牙周韧带并且避免切割邻近的牙齿。此外,这是一种可以有效利用智齿的治疗方法。
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引用次数: 0
Digital Planning for Mini-Implant Supported Palatal Expander in Open-Bite Treatment 开咬治疗中微型种植支撑腭扩张器的数字化规划
Pub Date : 2020-12-21 DOI: 10.14302/issn.2473-1005.jdoi-20-3659
Szuhanek C, B. M, Popa A
Open bite malocclusion, due to it’s multifactorial etiology, has always been considered a difficult problem to treat. Often associated with transverse maxillary deficiency, this is a real challenge in the field of orthodontics. The traditional approach, for this type of anomaly, in adult patients, is orthognathic surgery and RME (rapid maxillary expansion). There are several approaches to the treatment of adult patients using digital technology. Mini-implant supported palatal expander limits the side effects of the conventional RME and is less invasive compared to orthognathic surgery. Precise and predictable mini-implant insertion, using a customized surgical guide, provides a safe therapeutic approach. This case report combines Cone-beam computed tomography (CBCT), laser scan superimposition, computer-aided design (CAD) and 3D printing in order to design and print a customized surgical guide for orthodontic mini-implant insertion. A CBCT scan was performed to determine the optimal site for mini-implants’ placement. Using the 3Shape Trios Intraoral Scanner the maxilla and the mandible were laser-scanned. Blue Sky Plan 4 software was used to design the surgical guide, and RayWare software was used for printing it. 4 mini-implants were inserted using a safe and predictable technique. The 3D technology represents the future of orthodontics, reducing the risks, chair-side time while providing the best treatment plan for the patient.
由于其病因多样,一直被认为是治疗上的难题。通常与横向上颌缺陷,这是一个真正的挑战,在正畸领域。对于这种类型的畸形,在成人患者中,传统的方法是正颌手术和RME(快速上颌扩张)。使用数字技术治疗成年患者有几种方法。小型种植支撑腭扩张器限制了常规RME的副作用,并且与正颌手术相比侵入性较小。精确和可预测的微型植入物插入,使用定制的手术指南,提供了安全的治疗方法。本病例报告结合锥束计算机断层扫描(CBCT)、激光扫描叠加、计算机辅助设计(CAD)和3D打印技术,设计和打印一种定制的正畸微型种植体插入手术指南。进行CBCT扫描以确定微型植入物放置的最佳位置。使用3Shape Trios口内扫描仪对上颌和下颌骨进行激光扫描。手术指南采用Blue Sky Plan 4软件设计,RayWare软件打印。采用安全、可预测的技术植入4个微型植入物。3D技术代表了正畸的未来,减少了风险,椅子边的时间,同时为患者提供了最佳的治疗计划。
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引用次数: 0
Interdisciplinary Orthodontic and Surgical Management of Class III Malocclusion in Adult Patients 成人III类错牙合的跨学科正畸与外科治疗
Pub Date : 2019-09-24 DOI: 10.14302/issn.2473-1005.jdoi-19-3042
C. Szuhanek, S. Dumitrescu, E. Paraschivescu, R. Nagib
The treatment of class III malocclusion differs depending on the age of the patient. In adult patients, alternatives include either orthodontic dentoalveolar compensation treatment or a combined ortho-surgical approach. The aim of this paper is to present the orthodontic and surgical treatment of a 24 year old adult patient with increased anterior face height, a class III skeletal pattern and mandibular asymetry. Previous orthodontic treatment with removable appliances obtained a 1 mm overbite and overjet. Intraorally, class III molar relationship was observed, proclined upper incisors, retroclined lower incisors and a deviated lower midline. The main complaint was facial esthetics which required surgical intevention. After pre-surgical orthodontic preparation the maxilla was repositioned by a Le Fort I osteotomy and the mandible was set back using the Obwegeser-Dal Pont method. Final assesment revealed both functional and esthetic dentofacial results. A combination of orthodontic treatment and orthognathic surgery is often required in adult patients with dental malocclusion and skeletal discrepancies.
III类错牙合的治疗因患者的年龄而异。在成人患者中,可选择的方法包括正畸牙槽代偿治疗或联合矫形手术方法。本文的目的是提出正畸和手术治疗的24岁成人患者增加前脸高度,III类骨骼模式和下颌不对称。以前使用可移动矫治器的正畸治疗获得了1毫米的覆盖咬合和覆盖喷流。口腔内,观察到III类磨牙关系,上门牙前倾,下门牙后倾,下中线偏离。主要的抱怨是面部美观,需要手术干预。术前正畸准备后,上颌通过Le Fort I截骨复位,下颌骨采用Obwegeser-Dal Pont法复位。最后的评估显示功能和美观的牙面结果。正畸治疗和正颌手术的组合通常需要在成人患者牙错和骨骼差异。
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引用次数: 1
Modified Direct Transfer Coping Technique for Making Impression of Closely Placed Implants 改良的直接转移顶压技术用于紧密放置种植体的压印
Pub Date : 2019-08-19 DOI: 10.14302/ISSN.2473-1005.JDOI-19-2908
K. Singh
The main purpose of the impression is to record and transfer the relationship between implants and to reproduce this relationship as accurately as possible. But, Unplanned placement of the implants may result in close approximation of the implants, thereby posing tough challenge to the restorative dentist, to first accurately record the impression and later on fabricate the prosthesis with satisfactory esthetics and function. This article presents a modified direct impression coping procedure for precise making of impression of closely placed implants which otherwise may be difficult to replicate the exact position of the implants by conventional direct or indirect technique.
印模的主要目的是记录和转移植入物之间的关系,并尽可能准确地再现这种关系。但是,种植体的无计划放置可能导致种植体的接近,从而对修复牙医提出了严峻的挑战,首先要准确地记录印象,然后再制造具有令人满意的美学和功能的假体。本文提出了一种改进的直接压痕处理程序,用于精确制作紧密放置的种植体压痕,否则传统的直接或间接技术可能难以复制种植体的准确位置。
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引用次数: 0
Er-Yag Laser Root Preparation During Subepithelial Connective Tissue Graft Procedures. 上皮下结缔组织移植过程中的Er-Yag激光根准备。
Pub Date : 2019-03-08 DOI: 10.14302/ISSN.2473-1005.JDOI-19-2654
J. Kina, Eunice Fumico Umeda Kina, Juliana Kina, Mônica Kina
Areas of gingival recession cause either an esthetic problem and or root sensitivity. Obtaining predictable root coverage has become an important part of periodontal therapy. A deep, long – standing recession promoted by ANUG was treated using subepithelial connective tissue graft technique combined with decontamination of root surface by using Er:YAG laser. Our clinical findigs suggest that this technique is a predictable procedure to treat gingival recession and promote root decontamination.
牙龈萎缩的区域会引起美观问题或牙根敏感。获得可预测的牙根覆盖已成为牙周治疗的重要组成部分。采用上皮下结缔组织移植技术结合Er:YAG激光根面去污染治疗ANUG引起的深度、长期衰退。我们的临床研究结果表明,这种技术是一种可预测的治疗牙龈萎缩和促进牙根净化的方法。
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引用次数: 0
Socket Shield Technique - A New Approach of Immediate Implant Articles Review 牙槽屏蔽技术——一种即时种植体的新方法
Pub Date : 2019-03-04 DOI: 10.14302/ISSN.2473-1005.JDOI-18-583
A. Walid
Dental implant restoration is challenging procedure when it involve the esthetics zone, and since implant dentistry is prosthodontically driven procedure, care were practice in restoration of missing teeth in esthetics area which will fulfill the objective.Extraction of teeth leave buccal plate bone unsupported and decrease the blood supply and since this plate is very thin resorption will be expected. Different attempt was done in order to prevent this sequence and create natural emergence profile around dental implant prosthesis. Socket preservation procedures were introduced, however in case of ridge deficiencies, hard and soft tissue augmentation procedures are indicated.Socket shield technique meets the demands of minimal invasion, tissue preservation, and no need of bone substitute materials. And can be applied not only for maintaining buccal contour of an edentulous ridge but also for keeping the inter-implant soft and hard tissueIn this review paper we present different articles and case report using socket shield technique as treatment protocols and try to explore different protocol are practice in order to achieve high treatment out come with optimal success.
牙种植体修复是一个具有挑战性的过程,因为它涉及到美学领域,由于种植牙科是修复驱动的过程,在美学领域修复缺失牙齿的护理实践将实现目标。拔牙使颊板骨失去支撑,血液供应减少,而且由于牙板很薄,预计会有吸收。为了防止这种顺序,并在种植体修复体周围创造自然出现的轮廓,我们做了不同的尝试。我们介绍了椎窝保存程序,但如果脊部缺陷,则需要进行硬软组织增强程序。骨窝屏蔽技术满足微创、组织保存、不需要骨替代材料的要求。该技术不仅可用于维持无牙嵴的颊部轮廓,还可用于保持种植体间的软硬组织。本文综述了不同的文章和病例报告,并试图探索不同的治疗方案,以达到较高的治疗效果和最佳的成功率。
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引用次数: 1
Implant Anchorage in Orthodontic Retrusion: A Case Report 正畸后缩中种植体支抗1例报告
Pub Date : 2019-02-23 DOI: 10.14302/ISSN.2473-1005.JDOI-17-1745
C. Szuhanek, Adelina Grigore
Mini screws represent a new treatment modality in orthodontic biomechanics. They provide absolute anchorage, no secondary movements and reduced orthodontic treatment time. Futhermore, the surgical procedure for mini implants placement is quite simple and this type of treatment requires no patient compliance. We selected a clinical case in order to emphasize one of the most important indications of the mini implants: retrusion of the upper incisors for a incresed overjet case in a young patient. Two mini implants were placed in order to obtain the correction of the overjet and the retrusion of the anterior teeth. The retrusion was obtained in a reduced period of time using retraction devices on crimpable hooks.
微型螺钉在正畸生物力学治疗中是一种新的治疗方式。它们提供绝对的固定,没有二次运动和减少正畸治疗时间。此外,微型植入物的手术过程非常简单,这种类型的治疗不需要患者的依从性。我们选择了一个临床病例,以强调微型种植体的一个最重要的适应症:上门牙后缩的一个增加的病例,在一个年轻的病人。为了矫正前牙的覆盖和后缩,我们放置了两个微型种植体。使用可卷曲钩上的回缩装置,在缩短的时间内获得了回缩。
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引用次数: 0
期刊
Journal of Dentistry And Oral Implants
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